For a quick and seamless registrations process, please fill out your forms prior to arriving for your appointment.
STEP 1 - Print out the PDF forms below that apply to your situation
STEP 2 – Fill out each form
STEP 3 – Bring the forms to your appointment for a quick and smooth registration process.
For even more efficiency, you may FAX your completed paperwork to us BEFORE your appointment and we will have your information in our system when you arrive. You may FAX your forms to: 678-686-1715.
REGISTRATION FOR NEW PATIENTS:
New patients please fill out ALL of the following forms:
REGISTRATION FOR NEW BLADDER AND PROLAPSE PATIENTS:
New BLADDER AND PROLAPSE patients please fill out ALL of the following forms:
- Patient Registration
- New Patient Form
- HiPAA Form
- Lab Waiver Form
- Patient Bladder and Prolapse Questionnaire
- Bladder Diary
- Contact Form
REGISTRATION FOR RETURNING PATIENTS (ANNUAL EXAM):
Returning ANNUAL EXAM patients please fill out the following form: